CMS Price Transparency Data

Blood test, potassium

Facility: Central Florida Lake Monroe Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Central Florida Lake Monroe Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 1401 W Seminole Blvd, Sanford, FL.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $92 (1933%)
Insurance Median: $7 (147%)
Cash: $92 (1933% of Medicare)
Ins. Median: $7 (147% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $4 - $19 84%
Aetna $5 - $28 105%
Align Senior Care $5 105%
American Health Plan $5 105%
Avmed $5 - $46 105%
Blue Cross Blue Shield $5 105%
Careplus $5 105%
Centurion $5 105%
Cigna $5 105%
Clear Spring Health $5 105%
Devoted Health $5 105%
Fl Health Care Plan $5 105%
Florida Complete Care $5 105%
Gold Kidney Of Florida $5 105%
Ndms Definitive Care $5 105%
Seminole County Sheriffs Office $5 105%
Sunshine State $5 105%
Ultimate Health Plan $5 105%
United $5 - $41 105%
Wellcare $5 105%
Wellmed $5 105%
Longevity Health Plan $6 126%
Freedom Health $7 147%
Optimum $7 147%
Oscar $7 147%
Simply Healthcare $7 147%
Solis Health Plan $7 147%
Simply $14 294%
Molina Healthcare $17 - $29 357%
Evolutions $21 441%
Sunshine State Health Plan $23 483%
Florida Health Care Plan $35 735%
Corvel Corporation $45 945%
Plotkin Health $46 966%
Prime Health $46 966%
Prime Health Sheriff $46 966%
Careworks (Rockport Community) $48 1008%
Multiplan $69 - $78 1450%
Three Rivers Provider Network $69 1450%
Ppo Next $78 1639%
Novanet $83 1744%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 W Seminole Blvd, Sanford, FL 32771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals